Organization Active NPI

Alabama Spine and Pain

  • Pain Medicine (Anesthesiology) Physician
  • Florence, AL
National Provider Identifier
1255778577
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD.32531 Issued in AL
Legal business name
ALABAMA SPINE AND PAIN
Practice address
3907 Peach St
Florence, AL 35630-2803
Phone
(256) 712-2422
NPI assigned
May 28, 2013
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pavan Telang, MDNPI 1659573640
Title
Owner / Physician
Phone
(256) 712-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.32531 AL Primary

Addresses

Primary practice location

3907 Peach St
Florence, AL 35630-2803

Mailing address

PO Box 998
Killen, AL 35645-0998
Phone (256) 712-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130815000127 AL Part B Supplier - Clinic/Group Practice 1557503976 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL
O20170427000723 AL DME Supplier - Physician - Interventional Pain Management 1557503976 Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

3907 Peach St
Florence, AL 35630
Phone (256) 712-2422

541 W College St
Ste 2000
Florence, AL 35630
Phone (256) 712-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1255778577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356450998",
            "telephone_number": "256-712-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PEACH ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302803",
            "telephone_number": "256-712-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA SPINE AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "TELANG",
        "authorized_official_first_name": "PAVAN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "256-712-2422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD.32531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.